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South Carolina rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,737.80 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,380.38 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $2,398.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,047.13 / $1,174.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,348.96 / $2,818.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $575.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,318.26 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,318.26